Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T12:38:14.731Z Has data issue: false hasContentIssue false

Revisiting Wolff–Parkinson–White risk stratification: a malignant arrhythmia in a patient with intermittent pre-excitation

Published online by Cambridge University Press:  21 September 2015

Erin A. Paul
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
Suzanne M. Mone
Affiliation:
Department of Pediatric Cardiology, Morristown Medical Center, Morristown, New Jersey, United States of America
Leonardo Liberman*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
*
Correspondence to: L. Liberman, MD, Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, 3959 Broadway, Room 255, New York, NY 10032, United States of America. Tel: 212 305 8509; Fax: 212 342 5721; E-mail: [email protected]

Abstract

It has been reported that the presence of intermittent pre-excitation indicates low risk of rapid conduction via the accessory pathway in atrial fibrillation. We report a case of a 10-year-old boy with a history of intermittent pre-excitation who presented with atrial fibrillation with very rapid conduction.

Type
Brief Reports
Copyright
© Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Munger, TM, Packer, DL, Hammill, SC, et al. A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953–1989. Circulation 1993; 87: 866873.Google Scholar
2. Blomstrom-Lundqvist, C, Scheinman, MM, Aliot, EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias – executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients with Supraventricular Arrhythmias) developed in collaboration with NASPE-Heart Rhythm Society. J Am Coll Cardiol 2003; 42: 14931531.Google Scholar
3. Klein, GJ, Gulamhusein, SS. Intermittent preexcitation in the Wolff-Parkinson-White syndrome. Am J Cardiol 1983; 52: 292296.CrossRefGoogle ScholarPubMed
4. Cohen, MI, Triedman, JK, Cannon, BC, et al. PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS). Heart Rhythm 2012; 9: 10061024.Google Scholar
5. Pappone, C, Vicedomini, G, Manguso, F, et al. Risk of malignant arrhythmias in initially symptomatic patients with Wolff-Parkinson-White syndrome: results of a prospective long-term electrophysiological follow-up study. Circulation 2012; 125: 661668.Google Scholar
6. Dalili, M, Vahidshahi, K, Aarabi-Moghaddam, MY, Rao, JY, Brugada, P. Exercise testing in children with Wolff-Parkinson-White syndrome: what is its value? Pediatr Cardiol 2014; 35: 11421146.Google Scholar
7. Mah, DY, Sherwin, ED, Alexander, ME, et al. The electrophysiological characteristics of accessory pathways in pediatric patients with intermittent preexcitation. Pacing Clin Electrophysiol 2013; 36: 11171122.Google Scholar
8. Gemma, LW, Steinberg, LA, Prystowsky, EN, Padanilam, BJ. Development of rapid preexcited ventricular response to atrial fibrillation in a patient with intermittent preexcitation. J Cardiovasc Electrophysiol 2013; 24: 347350.Google Scholar
9. Li, CH, Hu, YF, Lin, YJ, et al. The impact of age on the electrophysiological characteristics and different arrhythmia patterns in patients with Wolff-Parkinson-White syndrome. J Cardiovasc Electrophysiol 2011; 22: 274279.CrossRefGoogle ScholarPubMed
10. Spar, DS, Silver, ES, Hordof, AJ, Liberman, L. Relation of the utility of exercise testing for risk assessment in pediatric patients with ventricular preexcitation to pathway location. Am J Cardiol 2012; 109: 10111014.CrossRefGoogle ScholarPubMed